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Basic Studies on Locational Planning of Emergency Medical Facilities, Considering Patients' Accessibility to a Facility

考虑患者可达性的紧急医疗设施选址规划基础研究

基本信息

批准号：
60550424
负责人：
MOROZUMI Mitsuo
金额：
$ 1.6万
依托单位：
KUMAMOTO UNIVERSITY
依托单位国家：
日本
项目类别：
Grant-in-Aid for General Scientific Research (C)
财政年份：
1985
资助国家：
日本
起止时间：
1985 至 1987
项目状态：
已结题

项目摘要

1. Demands for improving emergency medical services have been increasing in these days, especially in a provincial area like Kumamoto. Selecting Kumamoto as the case, this research project aimed at examining techniques and basic considerations required for a locational planning of emergency medical facilities: (1) techniques of network analysis to find optimal location of such facilities, using accessibility of patients to facilities as a surrogate for a level of services: (2) both qualitative and quantitative profile of demands for emergency medical services: (3) some of polices effective to improve those services.2. We made surveys of two different types: firstly, we surveyed profiles of more than 12000 patients visited two major facilities of emergency medical servicies in the Kumamoto prefecture: secondly, selecting a specific week we surveyed number of patients visited medical facilities in the Kumamot City for emergency medical services.3. Building major road network data-base and population sensus data-base for the Kumamoto prefecture, we developed a planning support system which can be used firstly to analyze accesibility to and from the facilities for every small zone of the prefecture, and secondly to find optimal location of facilities. The system showed that a level of emergency medical services is low in southern part of the prefecture and that locating a new facilitiy is inevitable.4. Other results of the study are: we assessed an effciency of the improved solution technique of locational optimization: we presented various data which show that there are substantial amoutn of demands for primaly medical care in tha night time and that those demands tend to disturb emergency medical services for patients who are in a really serious condition: we proposed a "patient screening system" in order to ease such problem as described above.5. We made a summary report, in which all papers already published are collected.

1. 如今，改善紧急医疗服务的需求不断增加，特别是在熊本这样的省级地区。本研究项目以熊本市为例，旨在研究紧急医疗设施选址规划所需的技术和基本考虑因素：(1) 网络分析技术，以找到此类设施的最佳位置，以患者对设施的可达性作为服务水平的替代指标：(2) 紧急医疗服务需求的定性和定量概况：(3) 一些有效改善这些服务的政策。2.我们进行了两种不同类型的调查：首先，我们调查了前往熊本县两家主要紧急医疗服务机构就诊的 12000 多名患者的概况；其次，选择特定的一周，我们调查了前往熊本市医疗机构寻求紧急医疗服务的患者人数。 3．我们为熊本县建立了主要的道路网络数据库和人口感知数据库，开发了规划支持系统，首先可以用于分析该县每个小区域的设施的可达性，其次可以找到设施的最佳位置。系统显示，县南部地区的紧急医疗服务水平较低，建立新的设施是不可避免的。 4．研究的其他结果是：我们评估了改进的位置优化解决方案技术的效率：我们提供了各种数据，表明夜间对初级医疗护理的需求量很大，并且这些需求往往会干扰病情严重的患者的紧急医疗服务：我们提出了一个“患者筛查系统”，以缓解上述问题。5。我们做了一个总结报告，里面收集了所有已经发表的论文。